Organization
BEHAVIORAL OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A BERNE OD (OWNER)
(505) 469-4949
Entity
Organization
Contact information
Practice address
174 TESUQUE VILLAGE RD, UNIT 458, TESUQUE, NM 87574-2000
(505) 469-4949
Mailing address
174 TESUQUE VILLAGE RD, UNIT 458, TESUQUE, NM 87574-2000
(505) 469-4949
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
398
NM
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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